Breadcrumb
  1. Home
  2. Workforce Shortage Areas
  3. What Is Shortage Designation?
  4. Understanding The Shortage Designation Modernization Project

Understanding the Shortage Designation Modernization Project

In 2013, we started the Shortage Designation Modernization Project (SDMP). We did this to streamline the shortage designation process.

We want to be transparent, accountable, and consistent.

What have we accomplished?

Phase I - 2013

Developed and released the Shortage Designation Management System (SDMS).

State Primary Care Offices (PCOs) use the SDMS to:

  • Manage health workforce data
  • Apply for Health Professional Shortage Areas (HPSAs) and Medically Underserved Areas/Populations (MUA/Ps)
  • Request Automatic (Auto-)HPSA rescores

We use the SDMS to:

  • Review shortage designation applications
  • Communicate with State PCOs
  • Review Auto-HPSA rescore requests

Phase II - 2017

Completed the first National Shortage Designation Update (NSDU) of geographic, population (groups of people), and facility HPSA designations (excluding Automatically Designated HPSA [Auto-HPSAs]).

Phase III – 2019

Completed the first NSDU of Auto-HPSA.

What are we doing now?

Phase IV – In Progress

Health Professional Shortage Area Scoring Criteria Request for Information (RFI)

We asked for public input on HPSA scoring criteria. This feedback will inform policy.

We accepted comments through September 18, 2020. After reviewing the comments, we may contact some respondents.

What are National Shortage Designation Updates?

We complete NSDUs to update existing HPSA designations at a single point in time.

Do NSDUs affect NHSC and Nurse Corps?

Changes in HPSA scores may affect a participants’ facility competitive status for the National Health Service Corps (NHSC) and the Nurse Corps Scholarship and Nurse Corps Loan Repayment programs.

A facility HPSA score change will not affect the participants’ current NHSC and Nurse Corps contract.

NHSC and Nurse Corps members:

  • may fulfill their service according to their current contracts;
  • may apply for a continuation award and may continue to serve at any eligible site;
  • may transfer to another approved site, if that site in the same HPSA tier.

Do NSDUs affect Centers for Medicaid and Medicare Services (CMS) HPSA Bonus Payments?

NSDUs do not affect CMS HPSA Bonus Payments. For more information on your bonus payment status contact your Medicare Administrative Contractor (MAC).

Do NSDUs affect CMS Rural Health Clinic enrollment or certification?

NSDUs do not affect rural health clinic enrollment or certification.

How do I access the Auto-HPSA Portal?

Use your existing BHW Customer Service Portal login credentials.

  1. Select Auto-HPSA Point of Contact from the “A Site Point of Contact, Representative or POC” section.
  2. Select Login BHW Portal Account Email and Password.
  3. Once the system logs you into the Auto-HPSA portal homepage:
    • It displays your organizations.
    • You can also manage your account settings.
      • Log in to the portal with your current credentials. You can then make the changes from your account settings to any of following:
      • Name
      • Email Address
      • Password
      • Security Question

    Need Assistance with your Auto-HPSA Portal account? Submit a help form or call 1-800-221-9393

    1. Contact your State Primary Care Office (PCO). Ask the PCO to add your email to your organization’s Auto-HPSA Portal account. This will designate you as a Site Point-of-Contact (POC).
    2. Once done, you will receive an email with instructions on how to establish and activate your account.
      • We only accept official business email addresses (e.g., .gov, .edu, .org).
    3. Return to the BHW Customer Service Portal.
    4. Select Auto-HPSA Point of Contact from the “A Site Point of Contact, Representative or POC” Section.
    5. Select Login BHW Portal Account Email and Password.
    6. Once the system logs you into the Auto-HPSA portal:
      • It displays your organizations.
      • You can manage your account settings.
        • Log in to the portal with your current credentials. You can change any of these account settings:
        • Name
        • Email Address
        • Password
        • Security Question

    Need assistance with your Auto-HPSA Portal account? Submit a help form or call 1-800-221-9393

    November

    Update Preview TA Session

    August

    June

    Update Preview Webinar: Indian Health Service, Tribal, and Urban Indian Clinics

    April

    February

    Update Preview Webinar: Primary Care Offices

    How to contact us

    Shortage Designation Questions

    Email SDB@hrsa.gov

    SDMP Questions

    Email SDMP@hrsa.gov

    NHSC or Nurse Corps Questions

    Submit a help form or call 1-800-221-9393

    Auto-HPSA Portal Technical Help

    Submit a help form or call 1-800-221-9393

    CMS Bonus Payment Questions

    Contact your Medicare Administrative Contractor (MAC)

    Date Last Reviewed: